# MARK A. GEORGE D.D.S., INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285941005
- **Authorized official:** MRS. DIANA LESLIE COSTELLO (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (714) 953-1000

## Contact information

- **Practice address:** 1140 W LA VETA AVE STE 530, ORANGE, CA 92868-4227
- **Practice address phone:** (714) 953-1000
- **Practice address fax:** (714) 953-9957
- **Mailing address:** 1140 W LA VETA AVE STE 530, ORANGE, CA 92868-4227
- **Mailing address phone:** (714) 953-1000
- **Mailing address fax:** (714) 953-9957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 31142 | CA | Yes |

## Other

- **Enumeration date:** 09/01/2010
- **Last updated:** 09/01/2010